Prevalence and clinical impact of iron deficiency in patients with severe aortic stenosis referred for transcatheter aortic valve implantation
The American Journal of Cardiology Aug 10, 2019
Rheude T, Pellegrini C, Lessmann L, et al. - Among 495 patients who underwent transfemoral transcatheter aortic valve implantation (TAVI) for severe symptomatic aortic stenosis, researchers investigated the prevalence and clinical influence of iron deficiency (ID). A composite of all-cause death, unplanned readmission for worsening heart failure or red blood cell transfusions during the first year post-TAVI was assessed as the primary endpoint. The occurrence of the primary endpoint was reported in 22% (109/495) of the study population. Findings revealed a common prevalence of ID in TAVI patients (54%). The presence of ID was related to adverse clinical outcome post-TAVI. In contemporary TAVI patients, administering intravenous iron for iron deficiency correction seemed feasible. It remained unknown if this attenuates transfusion rates and influences clinical result post-TAVI.
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